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Contact Information

MISSISSIPPI NEUROLOGY CENTER, PA
1020 RIVER OAKS DR
SUITE 420
FLOWOOD, MS39232-9500
 Phone: 601-939-4198
 Fax: 601-939-4120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MISSISSIPPI NEUROLOGY CENTER, PA

NPI Number 1144327420
LBN Legal business name MISSISSIPPI NEUROLOGY CENTER, PA
Authorized official ADELE THIEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 05/06/2008 - About 18 years ago
Identifiers
MS License # 12161
MS Medicaid 09013832
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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